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Individual

KATHARINE LUCRETIA WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10015 OLD COLUMBIA RD STE F100, COLUMBIA, MD 21046-1755
(443) 741-8788
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
MD
225X00000X
Occupational Therapist
0119010697
VA
225X00000X
Occupational Therapist
Primary
09901
MD
225X00000X
Occupational Therapist
125478
TX

Other

Enumeration date
10/17/2018
Last updated
02/02/2026
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